Embedded radiopaque foreign bodies in soft tissue of chin.
Fragments fo porcelain removed from the patient as depicted in the X-ray above.
Mucosal abrasions of soft palate, uvula and tonsillar pillar complicating throat packing in a patient undergoing endoscopic nasal surgery. Throat pack reduce risk of potential swallowing or aspiration of blood and infected secretion in the immediate moments of general anaesthesia reversal and upon extubation of endotracheal tube. Careful insertion of throat pack is necessary to avoid additional discomfort or pain beside the primary operation site.
Another patient with indurated palate and uvula who complaint of sore throat after endoscopic nasal surgery.
Multiple punctate bruise affecting mostly the uvula and superficial abrasions involving the palatoglossal folds medially 24 hours after throat pack removal in a patient who underwent endoscopic sinus washout. These superficial mucosal lesions resolved readily.
Oedematous uvula and submucosal bruise involving uvula, palatoglossal fold and distal soft palate secondary to improper insertion of throat pack in a patient who had endoscopic sinus surgery with antral irrigation.
Tip of foreign body (fish bone) seen in the left supratonsillar cleft surrounded by erythematous mucosa.
An obvious foreign body (arrow) sticking out from the left tonsil and directed posteromedially which was finally removed under general anaesthesia. (T - tonsil)
Impacted fishbone of right tonsil (arrow) in a 5 year old child.
Watch video of deeply buried fish bone in the tonsil @ YouTube
A long fishbone (arrow) deeply pricking into right tonsil with its free end pinning the ipsilateral hypopharyngeal mucosa upon swallowing. The foreign body has been there for a week and had caused otalgia, fever and neck pain.
Mucosal laceration with overlying fibrin of the respective ends.
The dimension of the fishbone removed (arrow) being compared to standard wooden spatula (ws).
Submucosal fish bone impaction at right lingual tonsil.
A 3 cm long fish bone impacted at left lingual tonsil with its free end lying transversely towards the opposite site.
[E - epiglottis, U - uvula, LT - lingual tonsil, arrow - fishbone]
Watch video of fish bone impaction in lingual tonsil @ YouTube
The widely used forceps for the purpose of foreign body removal in the oropharynx, especially at the tongue base and vallecula areas. Suited for linear or slim foreign objects. Slender tip, serrated, with sideway movements. Blackened/ebonized to reduce reflections from lights use and differentiate better with the surrounding mucosa and foreign material. Alternatively, other angled instruments
like Negus tonsil artery forceps can be use.
A complete vertebra of fishbone impacted at hypopharynx-cricopharynx junction causing severe distress in a patient born with cognitive impairment. (E - epiglottis, F - foreign body, PPW - posterior pharyngeal wall)
X-ray of neck: AP view X-ray of chest: Lateral view
1 - rigid oesophagoscope, 2 - serrated grasping forceps, 3 - dentures removed.
RO - rigid oesophagoscope, OM - oesophageal mucosa, X - fish bone, GF - grasping forceps, PE - left pharyngoepiglottic fold, E - epiglottis.
Watch video of Stuck Fishbone In Upper Oesophagus Safely Removed @ YouTube
Punctate submucosal haemorrhage and lacerated oesophageal mucosa (arrows) caused by sharp ends of impacted foreign body (FB).
The implicated foreign body (FB). The endoscope (1) has a diameter of 5 mm for measurement purpose.
Impacted meat bolus with surrounding Submucosal haematoma.
oedema and muscular spasm.
Endoscopic view of coin impacted in upper oesophageal lumen as seen through rigid oesophagoscope lumen (left figure) and the forceps used for its removal (right figure).